Student Application for Title IX Committee Email* Name* First Last Preferred pronounsHe/Him/HisShe/Her/HersThey/Them/TheirsClass year*Please explain your interest in becoming a member of the Title IX Student Advisory Committee.*Please explain (or list) any relevant experience, including student organization membership, as well as participation in programs/education related to Title IX/sexual violence (ex. Green Dot, IMPACT conference, etc.).*If selected to sit on the Student Advisory Committee, you would have a strong voice in issues brought forward to the Title IX office. Please briefly explain two key issues or concerns, related either to policy or education that you would be particularly interested in focusing on this year.*As a member of this committee, you will be expected to attend biweekly meetings and occasionally perform tasks outside of these meetings. Are you willing and able to make this time commitment? Questions regarding the Advisory Committee should be directed to Katie Basham at email@example.com.